Organization
MIJA KHAN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY BOYER (AUTHORIZED)
(209) 956-7732
Entity
Organization
Contact information
Practice address
8994 E DESERT COVE AVE, SCOTTSDALE, AZ 85260-7901
(480) 551-2040
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
04/02/2024
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